Kirtland Family Dentistry LLC
NPI #1124599253 in Albuquerque, New Mexico
Provider Information
- NPI Number
- 1124599253
- Entity Type
- Organization
- Organization Name
- Kirtland Family Dentistry LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 16, 2018
- Last Updated
- Dec 16, 2018
Practice Location
- Address
- 8521 CENTRAL AVE NE STE 101
- City
- Albuquerque
- State
- New Mexico
- ZIP Code
- 87108-2501
- Phone
- (505) 266-5881
Authorized Official
- Name
- FAITH GASKINS
- Title
- DIRECTOR OF CREDENTIALING
- Phone
- (972) 869-3789
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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